Life Stages Counseling Center, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074243-1 Issued in NY

Legal business name

LIFE STAGES COUNSELING CENTER, INC

Practice address

14 Candlewood Path
Dix Hills, NY 11746-5304

Phone

(516) 617-2635

Fax

(631) 462-6499

NPI assigned

Mar 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Teresa Grella Hillebrand, LMFT

Title

Licensed Family Therapist/Partner

Phone

(516) 617-2635

Specialties & licenses 3

Addresses

Tax ID family

Life Stages Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Life Stages Counseling Center, Inc

  • Clinical Social Worker
  • Dix Hills, NY
  • NPI 1043335920
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1114042652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CANDLEWOOD PATH",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465304",
            "telephone_number": "516-617-2635",
            "fax_number": "631-462-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CANDLEWOOD PATH",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465304",
            "telephone_number": "516-617-2635",
            "fax_number": "631-462-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STAGES COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "HILLEBRAND",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "GRELLA",
        "authorized_official_title_or_position": "LICENSED FAMILY THERAPIST/PARTNER",
        "authorized_official_telephone_number": "516-617-2635",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "6464",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074243-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000155-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette A Lewis-Mills, FNP
• Rhonda Lewis
• Kevin Hok-Lung Li
• Mary Beth Liberman
• Life Stages Counseling Center, Inc
• Life Transitions Counseling LCSW, PLLC
• Lifelong Theraputics Inc
• Barbara P Limpert, PT
• Deborah Lipman, LCSW
• Little Treasures LLP

• Clinical Social Worker in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.